Licensed Clinical Review Therapist

Job Summary

A company is looking for a Senior Clinical Review Therapist who will perform complex clinical reviews of therapy services and durable medical equipment.

Key Responsibilities

• Assess and perform utilization reviews of service requests for specialty therapy services and durable medical equipment
• Collaborate with Utilization and Care Management teams to ensure appropriate member care and treatment
• Provide education and develop clinical training related to therapy authorizations and provisions

Required Qualifications

• Bachelor's degree and 4 - 6 years of related experience
• Advanced clinical knowledge of clinical therapy services and/or durable medical equipment preferred
• Strong knowledge of therapy regulations and guidelines preferred
• Strong knowledge of utilization management processes preferred
• Licensure as a Physical Therapist, Occupational Therapist, or Speech Therapist required